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PERMITTEE NAME/ADDRESS pweYL frt4ryNr./Lueure pDdG.wp <br />NAME T:tA 1'irEk MI.~L 1, ,•, I;t (.. <br />AopRESS THAPPE'r 14:r:F <br />P.J. 6G'( 1;7 <br />CRAIG %C; 'T1+•2h <br />FACILITY <br />LOCATION <br />.I. 1'iN: B. vG~.;iJl: i'F?Ak5- ifi h.5/C F.N M:4 <br />NATIONAL POLLUTANT OISCNMOE ELIMINATION SYSTEM RVPDf$1 <br />DISCHARGE MONITORING REPORT IOMRI <br />(Z-t61 t7-791 <br />0000 I1 <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM f ' TO <br />tllLJII lJJ-J.TI lJLJ51 !J6-J71 tlA-191 !30.3/1 <br />Form Approved. <br />ACUTE iET TEST I4~MRH~'~vo~4ooa <br />(5 U B R f; W) Approvelle~p`rg'ttsbb5-31-98 <br />F - FIFAL J4 <br />r.7 NCR <br />*Yt4 ?;C IfISCHA'+G F. I~~ "%': <br />NOTE: Reed Imwctiarte before completing this fwm. <br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADING (I Grd Only! QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> 1IG63I (51-6t1 /3gJ51 (16-531 (51.61 <br />EX GF <br />TYPE <br />132-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS m:-sal ANN.vsls <br />(µ6g1 (es7ol <br />i, _>I 'iTditlE 4 HD AC SAMPLE +r444r?!S OL100#Tk Ot444'~ 'Y{4:^.~}4 ( 23j <br />i; i. !{ I V D n '!t N I A MEASUREMENT <br />A•I ,1J 1 U U PERMIT ~~~fi+6'Or 1~~ ~ CLYF 4t/i (fp ~ tp 44 ~1 (y0.~ ~ 94:104 <br />rp lp;.i4grT~' <br />ER- <br />tfiLY. <br />eRAF3 <br />,: E'r'L'JF:.T ,; 8:155 YALU `REQUIREM.ENL. . ;.. ~... .~.: .: :~-;:.. :~. ~..: ^~~.~ 44>ffi *j .:.~~ '£E. <br />• <br />1.1; :1J rTn': ^. F. 96HH AC SAMPLE ~~ 41a044O: >r tkPOOtT ~. ~ 4Ct18fl4 .1i;1 t14 ( <br />~3~ <br />P L 9~ F ~: ,. ~ i•. S MEASUREMENT <br />. <br />:ANbC 1 0 .0 EFIMIY <br />':: <br />~= <br />:: Aeu;~41:¢ ;t <br />ga.+6cRi~!R> st+a + <br />;;~.., :.:: <br />'. ?' 1f+~49~>al.; .';;;':9z~4~~xii: ga- 'C~IS!Y: a1AS <br />c.FF'LU .n: :,ROS4 VALU . <br />, <br />: <br />gEQUIRENIENT . <br />~. -; <br />,. <br />.:~ 'L~1 ~ <br />:; , <br />.. <br />;: :. <br />.: . <br /> SAMPLE <br /> MEASUREMENT ~ <br />~ /~j /yfjicJC++~ <br /> .. :PERMIT ~ ~:..~ ..... <br />: <br />r : <br />: . . <br />', <br /> 'REQUIREMEryT~. . <br />.: ~~ ~ ~ _. _. _, , <br />e <br /> . <br /> SAMPLE ' <br />'~"~ MEASUREMENT <br />a <br /> .,.... . <br />,_~::; <br /> ...: <br /> <br /> MEA$ REME6FT <br /> <br /> T#E~t)IRENiENT <br />~ :.. '~y.::: . <br />- SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . <br />~ <br /> REQUIREMENT. ~ ~ ~ ~ <br />NAME/TITLE PRINCIPAL EXECUTR/E OFFICER I cERnFV ~uNDER PENN.T\' GF <br />AM FAMIDM WITH THE INFO uw THAT I NAVE PERSONALLr EXAMINED AHD ~ <br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE <br /> <br /> <br />P <br />G <br />d MY INQUIRY OF THOSE NiD1VIDUN.S IMMEDIATELY RESPONSIeIE FOP <br />OBTNNING THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATION IS ~ <br /> <br />~~~ ~~ <br />{~~ <br />or <br />etaTY <br />on I AM AWME THAT THERE ME <br />TRUE <br />ACCUMTE AND COMPLETE <br /> . <br />. <br />SIGNIFICANT PENALTIES FOR SueMITTINO FALSE INFORMATION <br />INCLUDING <br />President b General Hann eI <br />S , 97D 824-4401 <br /> THE POSSIBILITY OF RNE ARD IMPNBONMENT. BEE 1e U.S.C. i 1001 AND ]] iIONATIME OF PRINCIPAL EXECVTNE <br /> U.S.C. f 1 at e. lnnteleler UI/r enter euttlhe nMY M1cAM Alre 4F ro F IO,000 <br />TYPED OR PRINTED .Its or metttYn 4nA,:.tneAaraaw«nemondu ens6 Frra/ OFFICER OR AUTHORRED AGENT ~pE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re7~rence e/1 ettecnment9 Nerel <br />,;,,, I. A. 2,rF 7-9, FCH DETAILS OF TES"_' PF.OC4DL'H°. BP.PURT LC`.C - 57JI?75tICAL FC1NT tSTIMATF. uHICH I13 <br />:.E'iiIAL '10 5Uw JF' TEST J9GAtiI5"iS, A`ID A'TACH dCUTE TOXICITY 1E5T RFFCBI FCFM ?0 CMFr COPIES OF ALL <br />(08.95) P/eVIOUe eORlOne mBV De Geed. IRCPLA4tB hPA FONM T-0O WNIGN MAT NV F tlE VSCU.I C ,~ C 2 ~ / 9 P. C 11 3-10 5 6 PAGe 1 <br />